title: Adoption of electronic health records and preparations for demonstrating meaningful use: an American Academy of Ophthalmology survey.
abstract: OBJECTIVE
  To assess the current state of electronic health record (EHR) use by ophthalmologists, including adoption rate, user satisfaction, functionality, benefits, barriers, and knowledge of meaningful use criteria.
  
  
  METHODS
  Population-based, cross-sectional study.
  
  
  METHODS
  A total of 492 members of the American Academy of Ophthalmology (AAO).
  
  
  METHODS
  A random sample of 1500 AAO members were selected on the basis of their practice location and solicited to participate in a study of EHR use, practice management, and image management system use. Participants completed the survey via the Internet, phone, or fax. The survey included questions about the adoption of EHRs, available functionality, benefits, barriers, satisfaction, and understanding of meaningful use criteria and health information technology concepts.
  
  
  METHODS
  Current adoption rate of EHRs, user satisfaction, benefits and barriers, and availability of EHR functionality.
  
  
  RESULTS
  Overall, 32% of the practices surveyed had already implemented an EHR, 15% had implemented an EHR for some of their physicians or were in the process of implementation, and another 31% had plans to do so within 2 years. Among those with an EHR in their practice, 49% were satisfied or extremely satisfied with their system, 42% reported increased or stable overall productivity, 19% reported decreased or stable overall costs, and 55% would recommend an EHR to a fellow ophthalmologist. For those with an electronic image management system, only 15% had all devices integrated, 33% had images directly uploaded into their system, and 12% had electronic association of patient demographics with the image.
  
  
  CONCLUSIONS
  The adoption of EHRs by ophthalmology practices more than doubled from 2007 to 2011. The satisfaction of ophthalmologists with their EHR and their perception of beneficial effects on productivity and costs were all lower in 2011 than in 2007. Knowledge about meaningful use is high, but the percentage of physicians actually receiving incentive payments is relatively low. Given the importance of imaging in ophthalmology, the shortcomings in current image management systems need to be addressed.
  
  
  BACKGROUND
  The author(s) have no proprietary or commercial interest in any materials discussed in this article.
authors.affiliation: Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. boland@jhu.edu
authors.forename: Michael V
authors.initials: MV
authors.lastname: Boland
authors.forename: Michael F
authors.initials: MF
authors.lastname: Chiang
authors.forename: Michele C
authors.initials: MC
authors.lastname: Lim
authors.forename: Linda
authors.initials: L
authors.lastname: Wedemeyer
authors.forename: K David
authors.initials: KD
authors.lastname: Epley
authors.forename: Colin A
authors.initials: CA
authors.lastname: McCannel
authors.forename: David E
authors.initials: DE
authors.lastname: Silverstone
authors.forename: Flora
authors.initials: F
authors.lastname: Lum
mesh_terms: D000047:Academies and Institutes / Q000706:statistics & numerical data*; D001292:Attitude to Computers; D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D009885:Ophthalmology / Q000706:statistics & numerical data*; D011216:Practice Management, Medical; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014481:United States